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___08/20/2014 16:37 2093338303 LODI DOWNSTAIRS <br /> ti <br /> nzinZ <br /> DATE RECEIVED ' SAN 10AQUIN COUNT( c � NUMBER <br /> RE, VEv <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> AUG 2 2 201 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: Yvww.sjgov.org/ehd <br /> tNVIRONMENTP.LHEALTH PUBLIC RECORDS RELEASE APPLICATION <br /> roAFIS -.., <br /> APPLICANT: Heather Shaddox BUSINESSIAGENICY: Neil O. Anderson & Associates <br /> ADDRESS: 902 Industrial Way CITY/STATEIZIP: Lodi,CA 95240 <br /> PHONE (1): 209-367-3701 PHONE(2):209-747-1000 FACSIMILE: 209-333-8303 <br /> TENTATIVE'APPOINTMENT DATE: w Time: <br /> (Please allow 10 business days from date of application submittal-•Tentative only-must bo confirmed) <br /> 9 ❑ CHECK BOX TO EXPEDITE REQUEST-$125 FEE(CASH OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> S <br /> YS Suri.. /�. :h.�. p�. '• <br /> 5(�ry SIGNATURE OF APPLICANT � DATE August 21, 2014 <br /> �I I ctronic Information: ❑ List❑ Map—Description: <br /> FILE ADDRESS EHD USE ONLY <br /> Street# Street Name City /`� p Unit 1 <br /> ----..,.......... . ._._..-------... _. .... <br /> 1. 200 N. Beckman Road Lodi SY <br /> LFOK <br /> 2 880 E.Victor Road Lodit4M S t4 CL" 1i �Un_H_2__ <br /> 3, 845 E. Pine Street Lodi MNA N "ems <br /> 4. 900 E.Victor Road tJFF Lodi �Unit3_ <br /> 5, 920 E.Victor Road NFF Lodi OAA(-3 <br /> 5. 873 E. Pine Street ( j—f- Lodi AAP�.1vitA¢ c„ Unit4 <br /> 7. 861 E. Pine Street Lodi rJT�P r'c'Lc_ /���% <br /> 8. 921 E. Pine Street l\) Lodi tJ�Q� I:�Ofc` - ❑Unit <br /> a 9. 930 E.Victor Road Lodi �T M Ast Artie r"=f <br /> 10. 1 940 E.Victor Road Lodi H L,ST(n, Ci' Unit6 <br /> ec19 rZGofln u : From - SeeP�'Id1 MCI[IrH�ICLE ' <br /> ENVIRONMENTAPARTMENT FILES 5H®UNDERGROUND TANK(UST)CLEANUP SITE(LOP) ❑MEDICAL WASTE FACILITY 0 ASTENS <br /> MOTHER CLEANUP SITE(NON-LOP) ❑HOUSING ABATEMENT ®WASTE TIRE lv��� <br /> ®UNDERGROUND TANK(MDNITORINGIREMOVAL) ❑FOOD FACILITY ® DAIRY h�7,(yi <br /> N ABOVEGROUND TANK ❑CHICKEN RANCHI DOG KENNEL N WASTEwATERTREATMENT PLANT (a" Y <br /> ®HAZARDOUS WASTEIHAZARDOUS MATERIALS ❑MOTELIHOTEI- N PUMPER TRUCKIYARDICHEMICAL TOILETS <br /> N TIERED PERMITTED FACILITY - ❑POOLISPA ®LAND USE APPLICATION SITES <br /> ❑TATTOO/BODY PIERCING ®COMPLAINTIRESPONSE RECORDS ❑OTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PM(EXCLUDING HOLIDAYS) <br /> 1. List up to ten addresses in the space above. Select the type(s) of files from the list above by checking the appropriate <br /> box(es). At least ono file type MUST be selected. Fax to(209)464-0138 or mail to the address indicated abovo. Address <br /> ranges will not be accepted-for additional assistance with file addresses, contact the EHD. Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant if any EHD files exist. An appointment for review will be confirmed approximately ten (10) <br /> days after receipt of application. The files will be held for a maximum of five business days for review. Appointments <br /> should be scheduled accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be Immediately available for review, A new application may be <br /> submitted when the file Is availablo. <br /> 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$125 deposit prior to review. <br /> irvi w. Y....:f <br /> ( f11 II itrlC it <br /> f! <br /> gi <br /> CCC esBr iki, (.rrpt <br /> a � nR-• C.csD6�4(Iq l�+ elw-:,�,I� R�=✓reiGr,_,� <br />